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Organization
VIPUL M. PATEL, MD.,PA
Active
Organization
VIPUL M. PATEL, MD.,PA
Active
Other names
Southmore Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL M PATEL MD (OWNER)
(713) 475-1933
Entity
Organization
Contact information
Practice address
629 E SOUTHMORE, PASADENA, TX 77502-1107
(713) 475-1933
Mailing address
629 E SOUTHMORE AVE, PASADENA, TX 77502
(713) 475-1933
(713) 475-9036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027HQ
BCBS
TX
Enumeration date
12/21/2007
Last updated
01/02/2008
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